PHYLLIS EVON SOLOMON FNP NPI 1306337332

NPI Information

  • NPI: 1306337332
  • Provider Name: PHYLLIS EVON SOLOMON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1570 BRAMPTON AVE
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 764-9196

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NPI Details

Phyllis Evon Solomon, FNP is a family nurse practitioner in Statesboro, GA. Phyllis Evon Solomon, FNP NPI is 1306337332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1570 BRAMPTON AVE
STATESBORO, GA
ZIP 30458-855
Phone: (912) 764-9196

The NPI 1306337332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2018 and was last updated on 7/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeRN150971GEORGIANo
2363LF0000XNurse PractitionerFamilyRN150971GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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